Paramedicfree vehiclesraise issues

So, 143 A&E ambulances dispatched on emergency call in the Western Trust in the first six months of last year didn’t have a paramedic on board. What does this mean in practice?

Firstly, it seems the NIAS isn’t realising its own vision of equipping every A&E vehicle with a skill mix of both paramedics and technicians.

Secondly, it’s creating a scenario whereby it’s possible patients could find themselves travelling to hospitals without paramedics on board after feeling so ill they had to phone an ambulance in the first place.

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In the world of local ambulance cover nowadays, smaller all-singing, all-dancing Rapid Response Vehicle’s (RRVs) usually attend calls in advance of A&E ambulances.

But RRV paramedics provide whatever emergency care necessary before making themselves available for dispatch to other calls.

What happens if you’ve a bad turn on the way to hospital having been handed over to a paramedic-free A&E ambulance?

Thirdly, the use of non-paramedic crews is more common in the west: 3.24 per cent of all crews compared with 1.6 per cent of all crews across Northern Ireland as a whole. Several questions arise from the practice.